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<br />APPLI.CAnOR FOJt PERfUT <br />CIlT o.F UI:P8IlUIILLS <br />BUILD.1JIG DUMllUUrr <br /> <br />Q pJ~f'11 <br />'..~ I~ <br /> <br />ONtfD'S IWIR A fA r ~ (j. <br /><MiD'S ADDIUl.SS { 0 J / <br />, <br /> <br />JOB ADD.RESS (' 6 5 / <br /> <br />2rCpi. r~ <br />( <br /> <br />lDI'(S) 5' <br />7.(' ..2/ <br /> <br />1- IdJ! / /~ tflff)#,4.I1LPWIIE.? y -:; ~2.) /9 <br /> <br />"? ,,: /' /. y t A', A ~ ..? . ;2 ;; ??f 1 (. //.[ . .,rc:: -' ~'<./r <br />(, I 7 : 1'1 <br />Jtr'/f'/ /~~ ' <br />f <br />.t.oc<< <br /> <br />SUBDIVlSIOW ? tf )' j "" t <br />r <br /> <br />Z//p/ /j #/! <br />/ <br /> <br />LEGAl. DESClUPTIlM: <br />PARCEL I.D.' .0 ., <br />- <br /> <br />Cf/?o <br /> <br />oot!tJo <br /> <br />6 65~6 <br /> <br />IiO.RK P.ROPOSEIJ :-Jew Coosl:nJcUoo ---..Addition --^lteratioo. -...."Repair ~tall <br /> _Sisn ~Y"e ----..>>e-olish <br />P.ROPOSIID lISlE: s:ing1e FaaUy ---.JJJF _, o.f Units ~8 <br /> _ec-erci.aJ. --..J.odust.. _Slim. Poo~ Other <br /> <br />--..Jle.shonm.l: a: Bea.l.t:h Depart:.eo.l: ApprovaJ. <br /> <br />.x <br /> <br />If {j 0 <br /> <br />Square Feet, <br /> <br /> <br />BUILDING SIZB: <br /> <br />Be ,~ <br /> <br />AnAW (2) PI.OI' I'LAlIS . (2) SEIS OF BUIJ.DIIfG .PlMS 6: (1) SKI' ENERGY FOJIfS .l <br />AnAm (3) sns OF BUI1DI1IC .l'IAIIS 5: (1) SRI" ElIERGY FOIUIS... :3 <br />""ooPr OF COlIl:RAcr BIIqU.l.RIID. <br /> <br />RESI.DENTIAL: <br /> <br />afttERCI.Al. : <br /> <br />PIlJIJIIJS 'JtI)DIt.~DIiD <br /> <br />-BUILDING <br /> <br />$. ~~J -?c;.. (It' <br /> <br />Va..luatioo of ToW Ooustnaction <br /> <br />Y.J.RC1lUcAL <br /> <br />Aftp Sen-ice <br /> <br />Florida Power Corp. <br /> <br />C!) <br />2 <br />N.R.E.C. ~ ~ <br />c::( =:) <br />~ ~-: <br /> <br />--JlECDABI.CM. <br /> <br />s <br /> <br />Valual:ion o.f lfecbanical Inst:allatiOll <br /> <br />---PLUtlBIRa <br /> <br />GAS <br /> <br />Y BOuFJ:l1(J <br /> <br />SPEClALn <br /> <br />ttPB OF OOIlSI'IWCTIOll: _.lJlOd. _Fr8Ite -5teel <br /> <br />Other <br /> <br />nlJlSHED FLOOa .8LEYA'ITOIIS I <br /> <br />fT. <br /> <br />IS PROJECT III FLOOD ZOIflI: AREAl <br /> <br />- <br /> <br />5igue.tuJ:e <br /> <br />~#- <br /> <br />.......................................... YIlS 110 9 D () w:? S <br /> <br />WD1IAcmR SEq10' ~ (JS/ If( / I / q t~, (I <br />. . /- ~oO ~v~ <br />OOIfItAlO' I /J i.I ; "b C I IY t 6' ~' ~F () <br />Stal:.e Ved:. or )legist. , u~ t: d 4- '9 U // . <br />City Lic:::ense Regist.r*tion' ..a ~ <br />.*..*.***......*......*....*...........*.. c7-t?/ <br /> <br />BIJ1I.DER <br /> <br />ItI.F..Cl'R.IClAN QJIIPAIIY <br />State Cert. 01:' .R.egist. , <br />5.hmat.ure City Liceose R.egi&tnll:.iou , <br />*.*...*.***..***.**..**.*.*..*...........* <br /> <br />PlplBq COIIPARI" <br />State Cerl:. or Regisl:. f <br />Signstw:e City License RegistntlO1l , <br />........*.......................*......... <br /> <br />NRalAJlTCAI. COIPAIU: <br />State Cert.. 0[' Re8ist. . <br />Si8nature CUy License Registrattoo , <br />.**......*....*.*....*....*............... <br /> <br />!lIDA CUlPAIII' <br />Sl:ate Oerl:. or Reai.st:. . <br />Slgoat.~ City L1c:enae R.eglsn.tloo f <br />.*..***......*.....**.**......*...*....... <br /> <br />U'PLICAT1011 Al"fIlOVIIiu .'1" I'BRIIIT OFFICBR. <br />